SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC NPI 1356965404

NPI Information

SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC is a pedorthist in Oklahoma City, OK. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC NPI is 1356965404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4901 W RENO AVE STE 800
OKLAHOMA CITY, OK
ZIP 73127-398
Phone: (405) 631-9731
Fax: (405) 634-9717

The provider's authorized official is Sanjuana Rogaciana Caballero .
The authorized official title is Owner and has the following contact phone number (405) 412-8621.

The enumeration date for this NPI number is 6/4/2020 and was last updated on 6/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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